Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $104.17	Facility		$14.26	$14.26	$104.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $21.30 / $104.17	Professional		$14.26	$21.30	$104.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $15.12 / $25.58	Facility		$12.70	$15.12	$25.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $21.40 / $40.47	Professional		$13.03	$21.40	$40.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $46.50 / $91.26	Professional		$28.46	$46.50	$91.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $39.71 / $48.74	Professional		$36.10	$39.71	$48.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $45.13 / $83.03	Professional		$21.66	$45.13	$83.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $168.95 / $171.48	Facility		$73.28	$168.95	$171.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $302.14 / $314.22	Professional		$270.75	$302.14	$314.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $36.10 / $73.02	Facility		$34.14	$36.10	$73.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $38.21	Professional		$14.73	$14.73	$38.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $68.14 / $68.14	Professional		$68.14	$68.14	$68.14
United Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $15.63 / $50.63	Professional		$14.67	$15.63	$50.63